| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.50 | $58.50 | $61.46 | |
Cigna
| Facility | $77.56 | $77.56 | $77.56 | |
Emblem Health
| Facility | $124.82 | $124.82 | $124.82 | |
Martin's Point
| Facility | $58.50 | $58.50 | $61.46 | |
Priority Health
| Facility | $77.56 | $77.56 | $77.56 |